LIVE MARKET·6,089 POSTINGS · LAST 6 MONTHS

Med-Surg Nurse salary: $61.19/hr median.

Across 6,089 active postings · 8 titles with data · 48 states.

Browse Med-Surg Nurse salary titles in Registered Nurse (RN), including posting volume, median pay, state coverage, and role-level comparisons.

Titles
11
8 with data
Postings
6,089
Median /hr
$61.19
$127,275/yr
Coverage
48 states
177 employers
01·PAY DISTRIBUTION·P10 → P90

How Med-Surg Nurse pay is distributed across the market.

10% of postings pay under $49.58. The top 10% pay above $75.90.

P10
$49.58
P25
$54.58
P50
$61.19
P75
$65.60
P90
$75.90
P10
$49.58
$103,126/yr
P25
$54.58
$113,526/yr
P50 (median)
$61.19
$127,275/yr
P75
$65.60
$136,448/yr
P90
$75.90
$157,872/yr
03·STATE BREAKDOWN·n=6,089

Med-Surg Nurse pay across every state with live data.

01Alabama AL235 postings
$56.00/hr
02Alaska AK41 postings
$82.98/hr
03Arizona AZ113 postings
$57.78/hr
04Arkansas AR20 postings
$45.43/hr
05California CA233 postings
$70.83/hr
06Colorado CO101 postings
$56.00/hr
07Connecticut CT57 postings
$63.00/hr
08District of Columbia DC8 postings
$56.00/hr
09Florida FL27 postings
$44.08/hr
10Georgia GA293 postings
$49.75/hr
11Hawaii HI35 postings
$63.53/hr
12Idaho ID24 postings
$56.45/hr
13Illinois IL393 postings
$63.33/hr
14Indiana IN141 postings
$58.08/hr
15Iowa IA357 postings
$60.46/hr
16Kansas KS183 postings
$61.40/hr
17Kentucky KY34 postings
$60.58/hr
18Louisiana LA122 postings
$53.20/hr
19Maine ME79 postings
$64.65/hr
20Maryland MD20 postings
$52.60/hr
21Massachusetts MA351 postings
$71.50/hr
22Michigan MI83 postings
$61.85/hr
23Minnesota MN26 postings
$71.93/hr
24Mississippi MS21 postings
$46.11/hr
25Missouri MO166 postings
$58.94/hr
26Montana MT29 postings
$57.72/hr
27Nebraska NE196 postings
$66.04/hr
28Nevada NV15 postings
$63.28/hr
29New Hampshire NH225 postings
$64.42/hr
30New Jersey NJ17 postings
$60.83/hr
31New Mexico NM135 postings
$53.61/hr
32New York NY379 postings
$63.00/hr
33North Carolina NC242 postings
$54.11/hr
34North Dakota ND138 postings
$63.00/hr
35Ohio OH267 postings
$61.40/hr
36Oklahoma OK90 postings
$60.42/hr
37Oregon OR58 postings
$74.88/hr
38Pennsylvania PA73 postings
$63.27/hr
39South Carolina SC117 postings
$50.39/hr
40South Dakota SD19 postings
$72.00/hr
41Tennessee TN218 postings
$53.71/hr
42Texas TX139 postings
$46.33/hr
43Vermont VT26 postings
$74.88/hr
44Virginia VA84 postings
$60.42/hr
45Washington WA24 postings
$68.00/hr
46West Virginia WV118 postings
$60.42/hr
47Wisconsin WI292 postings
$64.17/hr
48Wyoming WY20 postings
$59.50/hr

Showing all 48 states with live data. Bars scale to the highest-paying state.

CITY PAY DATA

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Create a free salary account to compare city pay against state and national benchmarks, save searches, and get cleaner sample-size context.

05·HIGHEST MEDIAN HOURLY·LAST 6 MONTHS

Highest-paying job titles in the Med-Surg Nurse track.

RoleCategory · TrackMedian /hrP25–P75PostingsΔ pay
Surgical Stepdown NurseRegistered Nurse (RN) · Med-Surg Nurse$72.00$68.29–$72.003— flat
Med Surg/Telemetry NurseRegistered Nurse (RN) · Med-Surg Nurse$66.29$62.65–$72.92445▼ 33.3%
Med-Surg NurseRegistered Nurse (RN) · Med-Surg Nurse$65.60$62.52–$77.001,756▲ 47.4%
Oncology Med-Surg NurseRegistered Nurse (RN) · Med-Surg Nurse$65.00$65.00–$72.076— flat
Renal/Nephrology NurseRegistered Nurse (RN) · Med-Surg Nurse$62.88$59.69–$65.504— flat
Ortho/Neuro NurseRegistered Nurse (RN) · Med-Surg Nurse$60.94$60.94–$60.941— flat
Medical Surgical Nurse (MedSurg)Registered Nurse (RN) · Med-Surg Nurse$57.00$52.50–$61.583,873— flat
Bariatric NurseRegistered Nurse (RN) · Med-Surg Nurse$38.00$38.00–$38.001— flat
06·HOW TO BECOME·CAREER PATHWAY

How to become a Med-Surg Nurse.

Medical-Surgical nurses provide care to adult patients with a wide variety of medical conditions and post-surgical needs on hospital medical-surgical units.

Education·Min: ADN · Preferred: BSN

Med-surg nursing is often the entry point for new graduate RNs. Most nurses complete BSN, pass NCLEX-RN, and start on med-surg units to build foundational skills.

DegreeDurationNotes
Associate Degree in NursingADN2-3 yearsEntry-level nursing degree. Many med-surg units accept ADN nurses with RN-to-BSN completion plans.
Bachelor of Science in NursingBSN4 yearsPreferred by most hospitals. Required for magnet facilities and leadership advancement.
RN-to-BSN ProgramRN-to-BSN1-2 yearsOnline completion program for ADN nurses to earn BSN while working.
Licenses & Exams·3 credentials
RN LicenseRegistered Nurse LicenseRequired
Exam: NCLEX-RN · Issued by: State Board of Nursing

State RN license required. Must pass NCLEX-RN examination.

BLSBasic Life SupportRequired
Issued by: American Heart Association

CPR certification required for all nursing positions.

ACLSAdvanced Cardiovascular Life SupportOptional
Issued by: American Heart Association

Often required or preferred, especially on telemetry or step-down units.

Optional Certifications·Pay boost where known
CredentialIssued byPay impact
CMSRN
Certified Medical-Surgical Registered Nurse
Primary certification for med-surg nurses. Validates expertise in adult medical-surgical nursing. Requires 2 years and 2,000 hours of practice.
AMSN/MSNCB+5-10%
RN-BC Med-Surg
Medical-Surgical Nursing Certification
Alternative med-surg certification from ANCC. Recognized nationally.
ANCC+5-10%
PCCN
Progressive Care Certified Nurse
For nurses on step-down or progressive care units caring for moderately ill patients.
AACN+5-10%
Wound Care Certification
Wound Care Certified (WCC)
Valuable specialization for med-surg nurses managing complex wounds.
NAWCO+3-8%
Career Path·6 steps
  1. 0-1 years
    New Graduate Med-Surg Nurse

    Entry-level position on med-surg unit. Building foundational nursing skills with preceptor support.

  2. 1-3 years
    Staff Med-Surg Nurse

    Independent practice managing 4-6 patient assignments. Growing clinical confidence.

  3. 3-5 years
    Senior Med-Surg Nurse / Preceptor

    Mentors new nurses, serves as unit resource, may lead patient care teams.

  4. 5-7 years
    Med-Surg Charge Nurse

    Shift leadership coordinating admissions, discharges, and staffing. CMSRN often expected.

  5. 7-10 years
    Unit Educator / Clinical Coach

    Focuses on staff development, competency validation, and quality improvement.

  6. 10+ years
    Nurse Manager / Director

    Leadership role overseeing unit operations, budget, and staff. MSN typically required.

Work Environment
Hospital medical-surgical unitsTelemetry/step-down unitsOrthopedic unitsOncology unitsPost-surgical unitsObservation units

Schedule. Primarily 12-hour shifts (7a-7p or 7p-7a). Rotating weekends and holidays required. Some facilities offer 8-hour day shifts.

Physical demands. Physically demanding with frequent walking, standing, lifting, and patient turning. Fast-paced with multiple patient assignments (typically 4-6 patients).

Job Outlook·Strong
6% (2022-2032)

Med-surg is the largest nursing specialty and serves as the foundation for most nursing careers. High demand at all experience levels. Travel med-surg positions pay $2,000-3,000+/week.

FAQ — Becoming this role·4 questions
Is med-surg nursing a good starting point?

Yes, med-surg is often called the 'foundation of nursing.' You'll gain diverse experience with many conditions, making it excellent preparation for specialty units or advanced roles.

How many patients do med-surg nurses have?

Typically 4-6 patients per nurse, depending on state ratios and unit acuity. California mandates 1:5 ratios by law. Night shifts may have higher ratios.

How long should I stay in med-surg before specializing?

Most recommend 1-2 years to build solid assessment and time management skills. Some specialty units (ICU, ER) may hire earlier with residency programs.

Is CMSRN certification worth it?

Yes. CMSRN demonstrates expertise, often comes with pay increases ($1-3/hour), and can accelerate advancement to charge nurse or leadership roles.